{"id":1263,"date":"2026-03-24T15:58:26","date_gmt":"2026-03-24T15:58:26","guid":{"rendered":"https:\/\/ipasrdc.org\/?p=1263"},"modified":"2026-03-24T20:23:48","modified_gmt":"2026-03-24T20:23:48","slug":"mon-corps-ma-decision-le-parcours-de-matondo","status":"publish","type":"post","link":"https:\/\/ipasrdc.org\/fr\/mon-corps-ma-decision-le-parcours-de-matondo\/","title":{"rendered":"Mon corps, Ma d\u00e9cision ! Le parcours de Matondo"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<\/p>\n

Dans plusieurs cultures, donner naissance est per\u00e7u comme un symbole de joie et de b\u00e9n\u00e9diction. Pourtant, cette joie peut s\u2019\u00e9teindre lorsque l\u2019un des conjoints se d\u00e9sengage et refuse d\u2019assumer la grossesse, laissant la femme seule face aux responsabilit\u00e9s et \u00e0 un profond d\u00e9s\u00e9quilibre psychologique et social.<\/span>\u00a0<\/span><\/p>\n

Cette r\u00e9alit\u00e9 v\u00e9cue par de nombreuses femmes, confront\u00e9es au d\u00e9sengagement de leur conjoint, refl\u00e8te un probl\u00e8me plus large en R\u00e9publique d\u00e9mocratique du Congo, o\u00f9 l\u2019acc\u00e8s limit\u00e9 aux m\u00e9thodes de planification familiale accentue leur vuln\u00e9rabilit\u00e9 face aux grossesses non d\u00e9sir\u00e9es.\u00a0<\/span><\/p>\n

En R\u00e9publique d\u00e9mocratique du Congo, l<\/span>a<\/span>\u00a0pr\u00e9valence\u00a0<\/span>d\u2019utilisation des\u00a0<\/span>m\u00e9thodes\u00a0<\/span>contraceptive<\/span>s<\/span>\u00a0moderne<\/span>s<\/span>\u00a0reste faible\u202f: seulement\u00a0<\/span><\/span>10,9\u202f% des femmes en union y ont recours<\/span><\/span>\u00a0(EDS 2023\/2024). Plus alarmant encore,\u00a0<\/span><\/span>32\u202f% des femmes mari\u00e9es ou en union souhaitant espacer ou limiter les naissances n\u2019ont pas acc\u00e8s aux m\u00e9thodes de planification familiale de leur choix<\/span><\/span><\/strong>. En 2024, la demande satisfaite en planification familiale n\u2019\u00e9tait que de\u00a0<\/span><\/span>21\u202f%<\/span><\/span><\/strong>.<\/span><\/span>\u00a0<\/span><\/span><\/p>\n

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Le parcours de Matondo<\/span><\/span><\/h2>\n

<\/span><\/span><\/p>\n

Matondo (nom d\u2019emprunt), \u00e2g\u00e9e de 26 ans, est une m\u00e8re c\u00e9libataire d\u2019une petite fille de 4 ans. Elle s\u2019est retrouv\u00e9e enceinte sans le savoir, car son cycle menstruel est irr\u00e9gulier.<\/span><\/span><\/p>\n

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\u00ab\u00a0\u00ab Mon cycle menstruel est irr\u00e9gulier, et si je dis savoir calculer mon cycle, ce serait un mensonge : je ne sais pas le faire \u00bb<\/span><\/span>\u00ab\u00a0<\/strong><\/p>\n<\/blockquote>\n

confie-t-elle.<\/span><\/span><\/p>\n

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Lorsqu\u2019elle d\u00e9couvre sa grossesse \u00e0 deux mois, elle est stup\u00e9faite\u202f: le premier mois, elle avait encore ses menstrues. Son conjoint refuse de reconna\u00eetre la grossesse et l\u2019abandonne. Elle se sent incapable de laisser \u00e9voluer la grossesse, partag\u00e9e entre la pression sociale, la peur de l\u2019avenir et l\u2019absence totale de soutien du p\u00e8re de l\u2019enfant.<\/span><\/span>\u00a0<\/span><\/p>\n

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\u00ab J\u2019avais des pens\u00e9es multiples concernant cette grossesse. Je me questionnais sur ma capacit\u00e9 \u00e0 prendre en charge l\u2019enfant \u00e0 na\u00eetre, d\u2019autant plus que je vivais chez ma tante. J\u2019\u00e9tais perdue dans mes r\u00e9flexions, c\u2019est ainsi que j\u2019ai d\u00e9cid\u00e9 de venir au Centre d\u2019Excellence au sein de la\u00a0<\/span>M<\/span>aternit\u00e9 de Kintambo \u00bb<\/span><\/strong><\/p>\n<\/blockquote>\n

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Avortement s\u00e9curis\u00e9 et Protocole de Maputo<\/span><\/span>\u00a0<\/span><\/span><\/span><\/h2>\n

<\/span><\/span><\/p>\n

Avant l\u2019adh\u00e9sion de la RDC au\u00a0<\/span><\/span><\/span>Protocole de Maputo<\/span><\/span>\u00a0<\/span>en 2018, de nombreuses femmes n\u2019avaient aucun moyen d\u2019acc\u00e9der \u00e0 un avortement s\u00fbr et encadr\u00e9. Elles \u00e9taient contraintes de recourir \u00e0 des pratiques clandestines et pr\u00e9caires, les exposant \u00e0 de graves complications telles que des infections, des h\u00e9morragies ou m\u00eame le d\u00e9c\u00e8s.<\/span><\/span>\u00a0<\/span><\/p>\n

Le Protocole de Maputo, additionnel \u00e0 la Charte africaine des droits de l\u2019homme et des peuples, reconna\u00eet le droit des femmes \u00e0 la sant\u00e9, y compris la sant\u00e9 sexuelle et reproductive. Son article 14 oblige les \u00c9tats \u00e0 autoriser l\u2019avortement m\u00e9dicalis\u00e9 dans certains cas\u202f: viol, inceste, danger pour la sant\u00e9 physique ou mentale de la m\u00e8re, ou malformation grave du f\u0153tus.<\/span><\/span>\u00a0<\/span><\/span><\/p>\n

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L\u2019<\/span>accompagnement<\/span>\u00a0<\/span>de la cliente<\/span><\/span>\u00a0<\/span><\/span><\/span><\/span><\/h2>\n

<\/span><\/span><\/p>\n

Dans le cas de Matondo, la sage\u2011femme qui l\u2019a prise en charge a soulign\u00e9 l\u2019importance de son \u00e9tat psychologique.<\/span><\/span>\u00a0<\/span><\/p>\n

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\u00ab En la recevant, Matondo \u00e9tait tr\u00e8s affect\u00e9e mentalement. Elle se trouvait face \u00e0 une situation qu\u2019elle n\u2019arrivait pas \u00e0 g\u00e9rer \u00bb, explique Mme Aim\u00e9e\u00a0<\/span>Olenga<\/span>. \u00ab Matondo m\u2019a confi\u00e9 qu\u2019elle voyait deux options\u202f: soit recourir \u00e0 l\u2019avortement, soit mettre fin \u00e0 ses jours. \u00bb<\/span><\/span>\u00a0<\/span><\/strong><\/p>\n<\/blockquote>\n

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Apr\u00e8s l\u2019intervention, Matondo confie que tout s\u2019est bien pass\u00e9 et qu\u2019elle se sent d\u00e9sormais apais\u00e9e. Mme Aim\u00e9e\u00a0<\/span><\/span>Olenga<\/span>\u00a0<\/span>rappelle que\u00a0<\/span><\/span><\/span>l\u2019accompagnement psychologique est une \u00e9tape essentielle<\/span><\/span><\/strong>, car il permet aux patientes de retrouver confiance en elles et de se projeter sereinement dans l\u2019avenir.<\/span><\/span>\u00a0<\/span><\/p>\n

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Le r\u00f4le d\u2019<\/span>Ipas<\/span>\u00a0<\/span>RDC<\/span><\/span><\/span>\u00a0<\/span><\/span><\/span><\/h2>\n

<\/span><\/p>\n

L\u2019exp\u00e9rience de Matondo illustre combien l\u2019acc\u00e8s \u00e0 des soins respectueux, fond\u00e9s sur les droits et la dignit\u00e9, d\u00e9pend d\u2019un environnement de sant\u00e9 solide et bien structur\u00e9.<\/p>\n

Ipas RDC \u0153uvre \u00e0 la construction d\u2019un \u00e9cosyst\u00e8me d\u2019avortement durable afin de permettre aux femmes d\u2019exercer pleinement leurs droits en sant\u00e9 sexuelle et reproductive. Dans ce cadre, l\u2019organisation soutient la mise en \u0153uvre des soins complets d\u2019avortement centr\u00e9s sur la femme (SCACF) en renfor\u00e7ant le syst\u00e8me de sant\u00e9, en particulier les capacit\u00e9s des prestataires de soins.<\/p>\n

L\u2019\u00e9coute active, le soutien \u00e9motionnel et le counseling respectueux rel\u00e8vent de l\u2019approche fond\u00e9e sur les droits humains et la qualit\u00e9 des soins promue par Ipas, qui encadre la mani\u00e8re dont les services sont d\u00e9livr\u00e9s. La planification familiale s\u2019inscrit comme une composante essentielle du continuum de sant\u00e9 et de droits sexuels et reproductifs.<\/p>\n

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[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3″ _builder_version=\u00a0\u00bb4.27.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#d9e2df\u00a0\u00bb custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/ipasrdc.org\/wp-content\/uploads\/2026\/03\/MicrosoftTeams-image-1.jpg\u00a0\u00bb alt=\u00a0\u00bbWomen discussing healthcare\u00a0\u00bb title_text=\u00a0\u00bbMicrosoftTeams-image (1)\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/ipasrdc.org\/wp-content\/uploads\/2026\/03\/MicrosoftTeams-image-2.jpg\u00a0\u00bb alt=\u00a0\u00bbWomen discussing healthcare\u00a0\u00bb title_text=\u00a0\u00bbMicrosoftTeams-image (2)\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/ipasrdc.org\/wp-content\/uploads\/2026\/03\/MicrosoftTeams-image.jpg\u00a0\u00bb alt=\u00a0\u00bbWomen discussing healthcare\u00a0\u00bb title_text=\u00a0\u00bbMicrosoftTeams-image\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.6″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.24.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb]<\/p>\n

Avec l\u2019appui de partenaires techniques et financiers, notamment le Royaume des Pays-Bas, le Canada et la Su\u00e8de, Ipas a mis en place un r\u00e9seau de centres d\u2019excellence en RDC (Kinshasa, Nord-Kivu, Sud-Kivu, Tshopo, et Tshikapa). Ces investissements structurants renforcent durablement l\u2019acc\u00e8s des femmes et des jeunes filles \u00e0 des services de sant\u00e9 sexuelle et reproductive de qualit\u00e9, contribuant concr\u00e8tement \u00e0 la r\u00e9duction de la morbi-mortalit\u00e9 maternelle et \u00e0 la r\u00e9alisation de leurs droits.<\/span>\u00a0<\/span><\/h2>\n

<\/span><\/p>\n

Ces centres offrent des services s\u00e9curis\u00e9s d\u2019avortement et de planification familiale, r\u00e9duisant ainsi les risques li\u00e9s aux pratiques clandestines et am\u00e9liorant la prise en charge des femmes et adolescentes.<\/span>\u00a0<\/span><\/p>\n

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Dans plusieurs cultures, donner naissance est per\u00e7u comme un symbole de joie et de b\u00e9n\u00e9diction. Pourtant, cette joie peut s\u2019\u00e9teindre lorsque l\u2019un des conjoints se d\u00e9sengage et refuse d\u2019assumer la grossesse, laissant la femme seule face aux responsabilit\u00e9s et \u00e0 un profond d\u00e9s\u00e9quilibre psychologique et social.\u00a0 Cette r\u00e9alit\u00e9 v\u00e9cue par de nombreuses femmes, confront\u00e9es au d\u00e9sengagement de leur conjoint, refl\u00e8te un probl\u00e8me plus large en R\u00e9publique d\u00e9mocratique du Congo, o\u00f9 l\u2019acc\u00e8s limit\u00e9 aux m\u00e9thodes de planification familiale accentue leur vuln\u00e9rabilit\u00e9 face aux grossesses non d\u00e9sir\u00e9es.\u00a0 En R\u00e9publique d\u00e9mocratique du Congo, la\u00a0pr\u00e9valence\u00a0d\u2019utilisation des\u00a0m\u00e9thodes\u00a0contraceptives\u00a0modernes\u00a0reste faible\u202f: seulement\u00a010,9\u202f% des femmes en union y ont recours\u00a0(EDS 2023\/2024). Plus alarmant encore,\u00a032\u202f% des femmes mari\u00e9es ou en union souhaitant espacer ou limiter les naissances n\u2019ont pas acc\u00e8s aux m\u00e9thodes de planification familiale de leur choix. En 2024, la demande satisfaite en planification familiale n\u2019\u00e9tait que de\u00a021\u202f%.\u00a0Le parcours de Matondo Matondo (nom d\u2019emprunt), \u00e2g\u00e9e de 26 ans, est une m\u00e8re c\u00e9libataire d\u2019une petite fille de 4 ans. Elle s\u2019est retrouv\u00e9e enceinte sans le savoir, car son cycle menstruel est irr\u00e9gulier. \u00ab\u00a0\u00ab Mon cycle menstruel est irr\u00e9gulier, et si je dis savoir calculer mon cycle, ce serait un mensonge : je ne sais pas le faire \u00bb\u00a0\u00bb confie-t-elle.Lorsqu\u2019elle d\u00e9couvre […]<\/p>\n","protected":false},"author":12,"featured_media":1264,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[38,39,40,13,49,41,48],"tags":[],"work-area":[26],"topic":[31,46,34,36,19],"class_list":{"0":"post-1263","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","6":"hentry","7":"category-community-engagement","8":"category-health-system-strengthening","9":"category-policy-and-advocacy","10":"category-politique-et-plaidoyer","12":"category-research-and-innovation","13":"category-strengthening-the-health-system","14":"work-area-health-system-strengthening","15":"topic-abortion-vcat","16":"topic-maputo-protocol","17":"topic-quality-care","18":"topic-self-managed-abortion","19":"topic-sexuality-education"},"_links":{"self":[{"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/posts\/1263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/comments?post=1263"}],"version-history":[{"count":0,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/posts\/1263\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/media\/1264"}],"wp:attachment":[{"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/media?parent=1263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/categories?post=1263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/tags?post=1263"},{"taxonomy":"work-area","embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/work-area?post=1263"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/ipasrdc.org\/fr\/wp-json\/wp\/v2\/topic?post=1263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}